Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Casirivi and imdevi 600 mg
Low
$0
Average
$31
Median
$0
High
$678
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 16213.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
80 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 6 | Central Vermont Medical Center Inc Berlin, VT facility · percent of total billed charges · outpatientfrom % of charges | 1 | — | — | — | — | — | — – — |
| 7 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 11 | Community Medical Center Toms River, NJ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 13 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 18 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 24 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q0240 · Snapshot 20261112T181611Z-3fa9fb76